Brittany McDaniel
Independence,MO
Summary
Analytical Underwriter with solid experience in financial services. Proficient in determining level of risk for insurers using strong mathematical and statistical skills. Conscientious and committed to adhering to standards, underwriting guidelines and authority levels.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Sr Healthcare Risk Underwriter/Pricing Analyst
SS&C Technologies
07.2023 - Current
- Applied knowledge of underwriting guidelines to maintain compliance with applicable regulations and company standards.
- Developed analytical framework for measuring the impact of price changes on volume, revenue, and margin performance.
- Maximized profitability by strategically optimizing pricing structures and models.
- Supported strategic decision-making by providing timely and relevant insights on pricing trends and developing competitive rates based on those trends.
- Established collaborative relationships with sales teams to provide guidance on deal structuring, discounting practices, and contract amendments.
- Conducted risk analysis on Renewals to identify changes in utilization and membership in order to provide leadership with real time profitability as well as forecast any potential increases or decreases in profitability.
- Optimized revenue generation through effective pricing strategies and tiered membership offerings on Medical and Pharmacy technology.
- Identified trends and patterns in claims/membership data, resulting in actionable insights for pricing strategies.
Patient Administration Sergeant
United States Army
12.2020 - 05.2023
- Served as the Noncommissioned Officer in Charge of Patient Administration at a Troop Medical Clinic in support of demobilizing and mobilizing soldiers
- Ensured the daily management of staff and operations for patient administration in the following areas: scheduling, registration, admissions, transfers, discharge and patient flow
- Provided consistent leadership and communication to maintain competency and engagement among staff
- Conducted meetings to review policies, procedures, and operational changes
- Developed, trained, and mentored staff in the patient administration section
- Managed employee training and education
- Evaluated performance of staff through quarterly reviews and provided coaching when necessary for competency and development
- Compiled reports to track trends in day-to-day patient visits.
Underwriter
Aetna, A CVS Health Company
06.2017 - 11.2020
- Performed financial analysis and risk assessments for perspective businesses
- Identified, evaluated, and managed risk for new business and renewal opportunities in support of the company's strategic goals to maximize revenue and membership
- Evaluated claims experience to determine potential profitability
- Voiced recommendations for plan changes and rate impact based on financial analysis, underwriting principals, and business strategy
- Mentored and cross trained underwriters to improve their technical skills
- Conducted audits on underwritten rates to ensure accuracy and provided feedback to assist underwriters in preventing underwriting errors
- Supported broker education on internal tools, processes and promoted broker self-service when appropriate
- Led a team of 6 in identifying and solving problems in underwriting processes by discovering the root cause and formulated a solution to make changes to the process
- Created standard work documents that outlined quoting process and made updates as processes changed
- Collaborated with offshore contractors to improve efficiency.
Patient Administration Specialist
United States Army Reserve
10.2008 - 11.2020
- Collaborated with clinical staff to facilitate patient movement, admissions, dispositions, and transfers
- Overseen patient Scheduling
- Managed physical and electronic medical records
- Processed disability claims
- Handled birth/decedent affairs and workload statistics
- Compiled medical documents needed for processing insurance claims
- Translated medical terms, diagnosis, and procedures into codes for billing.
Medical Management Team Lead
TriWest Healthcare Alliance
09.2015 - 03.2017
- Analyzed and processed complex authorization requests and referrals for medical care
- Tracked daily and weekly productivity to compile reports to provide staff direction to achieve department outcomes
- Identified potential discrepancies in the medical management system to assure quality compliance
- Resolved issues related to authorization entry, appointing or medical documentation review
- Translated medical terms into ICD-10 codes and applied procedure codes to ensure accurate billing
- Achieved company standards through coaching, auditing, goal setting, personal development, strategic planning, and prioritizing
- Trained and evaluated new hires on department processes
- Developed job aids to provide staff with the tools to troubleshoot potential issues related to their daily duties.
Education
Associate of Applied Science - Criminal Justice
National American University
Independence, MO06.2016
Skills
- Structured Thinking
- Problem Solving
- Risk Assessment
- Presentations
- Data Analytics
- Microsoft Office
- Team Building
- Healthcare Administration
- Training
- Customer Service
- Patient Records Administration
- Medical Underwriting – Level Funded Plans
- Underwriting guidelines
- Medical Terminology
- Product Pricing Analysis
- Value-based Pricing Models
Certification
06/01/2022, Data Analytics Certificate, Google
Timeline
Sr Healthcare Risk Underwriter/Pricing Analyst
SS&C Technologies
07.2023 - Current
Patient Administration Sergeant
United States Army
12.2020 - 05.2023
Underwriter
Aetna, A CVS Health Company
06.2017 - 11.2020
Medical Management Team Lead
TriWest Healthcare Alliance
09.2015 - 03.2017
Patient Administration Specialist
United States Army Reserve
10.2008 - 11.2020
Associate of Applied Science - Criminal Justice
National American University
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